HomeMy WebLinkAboutCitation #54872 CITY OF OSHKOSH, WISCONSIN Juvenile Yes Incident No. Deposit
54872 CITATION Parents
Notified Yes $ FOR COURT USE ONLY
STATE OF WISCONSIN THE UNDERSIGNED FOR AND IN BEHALF OF THE
CIRCUIT CT THAT SAID DEFENDANT DID
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
WINNEBAGO COUNTY
WINNEBAGO
ORDINANCE ADOPTING WIS STATS
ON AT AM /PM VIOLATE TO WIT:
DEFENDANT LAST FIRST MIDDLE DESCRIBE VIOLATION
ADDRESS (HOME) APT. CITY /STATE ZIP CODE
SCHOOL ADDRESS /PLACE OF EMPLOYMENT /HOME PHONE
BIRTH DATE DRIVERS LICENSE STATE
SEX RACE HEIGHT WEIGHT HAIR EYES MARKS, SCARS, TATTOOS
VEH. PLATE EXP. STATE YEAR /MAKE OF VEH. TYPE COLOR ON HWY /STREET — PRIVATE /PUBLIC PROPERTY
PARENT /GUARDIAN ADDRESS PHONE AT
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT Winnebago County, City of Oshkosh
ON , , AT AM /PM OSHKOSH POLICE DEPARTMENT
OFFICER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING, RM. 194, 420 JACKSON ST., OSHKOSH, WI 54903 -2808
(RECORD COPY)
•
AGENCY RECORD
DATE OF DI -OSITION STIPULATION
fb // O( nfF4Ce
❑ Withdrawn by Agency - Reason ■
(I) Denied by Prosecution - Reason ❑Amended To:
❑ Dismissed - Reason
PA: ❑ NOT GTY FINDINGS:
❑ NO :
❑JURY COURT
❑ COURT BRANCH:
SENTENCE: 1 2 3 4 5 6
❑ $ WARRANT STATUS
FINE AND /OR ORDERED:
❑ — DAYS JAIL AND /OR
0 DATE:
DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
❑ Driver's License Suspension For Failure To Pay DATE:
INCIDENT REPORT:
RETURN
DATE:
INCIDENT DICTATED YES NO ARREST REPORT DICTATED YES NO
DATE:
DATE:
SIGNATURE OF OFFICER
DATE RMS JALES
DATA
ENTERED: / / / /